January 2012
  In This Issue
The Value in Musculoskeletal Care Summit

America's War Heroes: Impact of Musculoskeletal Injury and Trauma

USBJI Plans and Changes in 2012

Chronic Osteoarthritis Management Initiative

Burden of Musculoskeletal Diseases in the United States

National Bone Health Alliance

OA Action Alliance - Physical Activity Work Group Update

How Do We Get Policy Makers to Take Musculoskeletal Conditions Seriously?

USBJI Honors Dr. Stephen Katz

Young Investigators Urged to Apply for USBJI Grant Mentoring and Career Development Program

Public Education Programs

New USBJI Board Members

New Members

Thanks to Supporters

How to Receive a Print Copy of the Newsletter?

  Calendar of Events

01/13/12 - 01/15/12
Montana Orthopedic Society Annual Meeting

01/15/12 - 01/15/12
Young Investigators Initiative Grant Mentoring & Career Development Workshop Application Deadline

01/19/12 - 01/19/12
Fit to a T: Mogadore Branch Library

01/26/12 - 01/26/12
Fit to a T: Tuscarora Nation House

01/27/12 - 01/27/12
Fit to a T: Arysta LifeScience

02/02/12 - 02/02/12
Hawaii Orthopaedic Association Annual Meeting

02/04/12 - 02/07/12
Orthopaedic Research Society Annual Meeting

02/07/12 - 02/07/12
Ruth Jackson Society Annual Meeting

02/07/12 - 02/11/12
American Academy of Orthopaedic Surgeons Annual Meeting

02/09/12 - 02/09/12
J. Robert Gladden Orthopaedic Society Annual Luncheon

02/11/12 - 02/11/12
Fit to a T: Woodland Hills United Methodist Church

02/11/12 - 02/11/12
Orthopaedic Trauma Association Specialty Day

02/11/12 - 02/11/12
The Hip Society Specialty Day

02/11/12 - 02/11/12
American Association of Hip and Knee Surgery Specialty Day

02/11/12 - 02/11/12
Federation of Spine Associations Specialty Day

02/11/12 - 02/11/12
The Knee Society Specialty Day

02/13/12 - 02/13/12
Fit to a T: Hartland Bible Church

02/14/12 - 02/14/12
Fit to a T: Texas Health Presbyterian Hospital Rockwell

02/16/12 - 02/16/12
Fit to a T: Ransomville Fire Hall

02/21/12 - 02/21/12
Fit to a T: Lockport Senior Center

02/21/12 - 02/21/12
Fit to a T: Avery Dennison

02/22/12 - 02/22/12
Fit to a T: Illinois Farm Bureau

02/23/12 - 02/26/12
American Academy of Pain Medicine (AAPM) Annual Meeting

02/28/12 - 02/28/12
Fit to a T: Illinois Farm Bureau

02/28/12 - 02/28/12
Fit to a T: Middleport Scout House

02/28/12 - 03/03/12
Associaton of Academic Physiatrists Annual Meeting

03/01/12 - 03/01/12
Fit to a T: Rapids Fire House

03/01/12 - 03/04/12
American College of Foot and Ankle Surgeons Annual Scientific Conference

03/06/12 - 03/06/12
Fit to aT: Pendleton United Methodist Church

03/07/12 - 03/07/12
Fit to a T: Olcott Fire Hall

03/07/12 - 03/10/12
International Society for Clinical Densitonetry (ISCD) Annual Meeting

03/09/12 - 03/10/12
Louisiana Orthopaedic Association Annual Meeting

03/14/12 - 03/14/12
Fit to a T: Luther Village

03/14/12 - 03/15/12
American Academy of Orthopaedic Surgeons Research Capitol Hill Days

03/16/12 - 03/16/12
Fit to a T: Barker Fire Hall

03/21/12 - 03/21/12
Fit to a T: Summit View Place

03/21/12 - 03/24/12
American Association for Dental Research (AADR) Annual Meeting & Exhibition

03/21/12 - 03/25/12
American Academy of Osteopathy - Annual Convocation

03/27/12 - 03/27/12
Fit to a T: LaSalle Senior Center

03/28/12 - 03/31/12
American Association of Colleges of Osteopathic Medicine Annual Meeting

03/29/12 - 03/29/12
Fit to a T: Amherst Senior Center

03/29/12 - 03/29/12
Fit to a T: Wheatfield Community Center

04/05/12 - 04/05/12
Fit to a T: Frederick Senior Center

04/11/12 - 04/14/12
Association of Children's Prosthetic-Orthotic Clinic Annual Meeting

04/11/12 - 04/14/12
Orthopaedic Rehabilitation Association Annual Meeting

04/12/12 - 04/12/12
Fit to a T: Brunswick Senior Center

04/13/12 - 04/13/12
Iowa Orthopaedic Society Spring Meeting

04/13/12 - 04/15/12
USBJI Young Investigators Initiative Grant Mentoring & Career Development Workshop

04/14/12 - 04/14/12
Experts in Arthritis: Cloverdale Library

04/14/12 - 04/19/12
American Association of Neurological Surgeons Annual Meeting

04/16/12 - 04/18/12
2012 Arthritis Foundation Advocacy Summit

04/18/12 - 04/22/12
Mid-America Orthopaedic Association Annual Meeting

04/19/12 - 04/21/12
American Spinal Injury Association Annual Scientific Meeting

04/21/12 - 04/24/12
National Association of Chain Drug Stores Foundation (NACDS) Annual Meeting

04/21/12 - 04/25/12
American Medical Society of Sports Medicine (AMSSM) Annual Meeting

04/21/12 - 04/25/12
American Association of Anatomists Annual Meeting

04/23/12 - 04/26/12
American Association of Occupational Health Nurses National Conference

04/23/12 - 04/27/12
American Osteopathic College of Radiology (AOCR) Annual Conference

04/24/12 - 04/24/12
Fit to a T: Emmitsburg Senior Center

04/24/12 - 04/24/12
Fit to a T: Urbana Senior Center

04/25/12 - 04/25/12
Fit to a T: Park Street Brethren Church

04/25/12 - 04/25/12
Experts in Arthritis: JW Marriott

04/25/12 - 04/27/12
AAOS-National Orthopaedic Leadership Conference

04/25/12 - 04/28/12
National Osteoporosis Foundation - International Symposium on Osteoporosis

04/26/12 - 04/29/12
American Occupational Therapy Association (AOTA) Annual Meeting

04/27/12 - 04/27/12
Minnesota Orthopaedic Society Annual Meeting

04/27/12 - 04/29/12
American College of Rheumatology State-of-the-Art Clinical Symposium

04/29/12 - 05/02/12
American Occupational Health Conference (AOHC)

05/02/12 - 05/06/12
Association of Bone and Joint Surgeons Annual Meeting

05/03/12 - 05/03/12
Fit to a T: Syngenta

05/05/12 - 05/05/12
Fit to a T: Center for Specialty Care

05/11/12 - 05/11/12
Connecticut Orthopaedic Society Annual Meeting

05/15/12 - 05/15/12
Fit to a T: Salud Digna Clinic

05/16/12 - 05/19/12
American Pain Society Annual Meeting

05/17/12 - 05/19/12
Pediatric Orthopaedic Society of North America Annual Meeting

05/17/12 - 05/19/12
Arthroscopy Association of North America - Annual Meeting

05/18/12 - 05/21/12
American Congress of Rehabilitation Medicine - Mid-Year Meeting

05/19/12 - 05/19/12
Experts in Arthritis: Windsor Library

05/19/12 - 05/22/12
National Association of Orthopaedic Nurses (NAON) - Annual Congress

05/20/12 - 05/22/12
American Association of Orthopaedic Executives Annual Meeting

05/22/12 - 05/22/12
Experts in Arthritis: Tulane Medical Center

05/28/12 - 06/01/12
International Bone and Mineral Society - Annual Meeting

05/28/12 - 06/01/12
European Society of Physical & Rehabilitation Medicine (ESPRM) Annual Meeting

06/02/12 - 06/02/12
Expert in Arthritis: Petaluma Library

06/06/12 - 06/06/12
Experts in Arthritis - Tampa FL

06/06/12 - 06/09/12
American Physical Therapy Association Annual Meeting

06/06/12 - 06/09/12
European League Against Rheumatism (EULAR) Annual Meeting

06/16/12 - 06/20/12
AMA House of Delegates Annual Meeting

06/18/12 - 06/18/12
Fit to a T: Daffodil Senior Apartments

06/20/12 - 06/23/12
American Orthopaedic Foot and Ankle Society Annual Summer Meeting

06/21/12 - 06/21/12
Fit to a T: Haysville Community Library

06/26/12 - 06/29/12
National Athletic Trainers' Association (NATA) Annual Meeting & Clinical Symposia

06/27/12 - 06/30/12
American Orthopaedic Association - Annual Meeting

07/07/12 - 07/10/12
Canadian Orthopaedic Association Annual Meeting

07/10/12 - 07/10/12
Fit to a T - Westwood Village

07/10/12 - 07/14/12
American Orthopaedic Society for Sports Medicine (AOSSM) Annual Meeting

07/13/12 - 07/13/12
Fit to a T: Paddock Golf Dome

07/13/12 - 07/15/12
Osteogenesis Imperfecta Foundation National Conference

07/15/12 - 07/15/12
Young Investigators Initiative Grant Mentoring & Career Development Workshop Application Deadline

07/19/12 - 07/22/12
Juvenile Arthritis Conference

07/21/12 - 07/21/12
Fit to a T: Gracepointe Nazarene Church

07/27/12 - 07/28/12
Limb Lengthening and Reconstruction Society - Annual Scientific Meeting

08/01/12 - 08/04/12
American Society of Orthopaedic Physician's Assistants (ASOPA) Annual Meeting

08/10/12 - 08/12/12
AAOS & AOSSM Annual Review Course

08/14/12 - 08/14/12
Fit to a T: John H Bonner Community Center

08/15/12 - 08/15/12
Fit to a T: Beechwood Residence

09/03/12 - 09/05/12
International Spinal Cord Society (ISCos) Annual Scientific Meeting

09/05/12 - 09/08/12
Scoliosis Research Society Annual Meeting

09/06/12 - 09/08/12
1st FFN Global Congress

09/06/12 - 09/08/12
American Society for Surgery of the Hand Annual Meeting

09/06/12 - 09/08/12
Knee Society Members Meetings

09/11/12 - 09/11/12
Fit to a T: St Elizabeth Helathcare

09/12/12 - 09/15/12
American Academy for Cerebral Palsy and Developmental Medicine Annual Meeting

09/13/12 - 09/15/12
Clinical Orthopaedic Society Annual Meeting

09/13/12 - 09/15/12
Hip Society Scientific Meeting

09/18/12 - 09/18/12
Fit to a T:Santa Monica Public Library

09/18/12 - 09/19/12
2012 National Caucus on Arthritis and Musculoskeletal Health Disparities

09/19/12 - 09/19/12
Rare Bone Disease Research Summit: Future Directions

09/20/12 - 09/22/12
Musculoskeletal Tumor Society Annual Meeting

09/27/12 - 09/29/12
ISHA Annnual Scientific Meeting

09/30/12 - 10/04/12
American College of Surgeons Annual Meeting

10/02/12 - 10/02/12
Experts in Arthritis: Valley Health Fitness and Wellness Center

10/03/12 - 10/06/12
American Association of Neuromuscular & Electrodiagnostic Medicine (ANNEM) Annual Meeting

10/04/12 - 10/06/12
Orthopaedic Trauma Association Annual Meeting

10/07/12 - 10/11/12
American Osteopathic Association - Annual Convention

10/09/12 - 10/13/12
American Congress of Rehabilitation Medicine - Annual Meeting

10/10/12 - 10/10/12
Fit to a T: Round Lake Library Malta Branch

10/12/12 - 10/12/12
World Arthritis Day (Bone and Joint Health National Awareness Week)

10/12/12 - 10/16/12
American Society for Bone and Mineral Research - Annual Meeting

10/12/12 - 10/20/12
Annual Bone and Joint Health National Awareness Week

10/13/12 - 10/13/12
Fit to a T: Knoll, Inc.

10/15/12 - 10/15/12
Fit to a T; Heritage Park YMCA

10/16/12 - 10/16/12
Fit To a T: St Agnes Hospital

10/16/12 - 10/16/12
World Spine Day (Bone and Joint Health National Awareness Week)

10/17/12 - 10/17/12
World Trauma Day (Bone and Joint Health National Awareness Week)

10/18/12 - 10/18/12
Experts in Arthritis: Laurel Beltsville Senior Center

10/18/12 - 10/18/12
Fit to a T: Cherry Valley Public Library

10/18/12 - 10/18/12
Fit to a T: Sacred Heart University

10/18/12 - 10/21/12
American Academy of Orthopaedic Surgeons - Fall Meeting

10/18/12 - 10/21/12
American Shoulder and Elbow Surgeons Annual Meeting

10/20/12 - 10/20/12
World Osteoporosis Day (Bone and Joint Health National Awareness Week)

10/20/12 - 10/23/12
American Academy of Pediatrics (AAP) National Conference & Exhibition

10/20/12 - 10/24/12
American Society for Reconstructive Microsurgery (ASRM) Annual Meeting

10/23/12 - 10/23/12
Fit to a T: PTC Christian Church

10/23/12 - 10/27/12
North American Spine Society Annual Meeting

10/25/12 - 10/25/12
Fit to a T: Levine Senior Center

10/25/12 - 10/28/12
American Osteopathic Academy of Orthopedics (AOAO) Annual Meeting

10/26/12 - 10/26/12
Fit to a T: Emmitsburg Senior Center

10/27/12 - 10/27/12
Fit to a T: Betty T Ferguson Recreational Complex

11/01/12 - 11/01/12
Experts in Arthritis: John H Bonner Community Center

11/01/12 - 11/04/12
Multiple Hereditary Exostoses Syndrome Research Conference

11/02/12 - 11/04/12
USBJI Young Investigators Initiative Grant Mentoring & Career Development Workshop

11/02/12 - 11/04/12
American Orthopaedic Foot and Ankle Society Annual Meeting

11/02/12 - 11/07/12
Association of American Medical Colleges (AAMC) Annual Meeting

11/03/12 - 11/03/12
Experts in Arthritis: The Arbors at Port Warwick

11/06/12 - 11/06/12
Fit to a T: Virginia Heritage @ Lee's Parke Club House

11/08/12 - 11/11/12
Congress of Chiropractic State Associations - Convention

11/09/12 - 11/14/12
American College of Rheumatology Annual Scientific Meeting

11/10/12 - 11/13/12
AMA House of Delegates Interim Meeting

11/13/12 - 11/13/12
Fit to a T: Thousand Oaks Library

11/13/12 - 11/13/12
Fit to a T: Metro SPortsmed

11/14/12 - 11/14/12
Fit to a T: SLCSB District Office

11/14/12 - 11/14/12
Experts in Arthritis: Luther Village

11/15/12 - 11/15/12
Fit to a T: Pittsburg Senior Senior

11/15/12 - 11/18/12
American Academy of Physical Medicine & Rehabilitation - Annual Assembly

11/16/12 - 11/16/12
Fit to a T: St Luke's Place

11/17/12 - 11/17/12
Fit to a T: Shrewood Public Library

11/17/12 - 11/17/12
Fit to a T: Greensboro Cultural Arts Center

11/25/12 - 11/25/12
Fit to a T Cinemark Pedregal Plaza Escenaria

11/27/12 - 12/01/12
Sicot Annual International Conference

11/29/12 - 12/02/12
The Bone and Joint Decade World Network Conference

12/03/12 - 12/03/12
Fit to a T: Carolina Back Institute

12/04/12 - 12/04/12
Fit to a T: Dowdell Library of South Amboy

12/06/12 - 12/08/12
Cervical Spine Research Society Annual Meeting

12/10/12 - 12/14/12
Society of Military Orthopaedic Surgeons Annual Meeting

12/11/12 - 12/11/12
Experts in Arthritis: William G Rohrer Center for HealthFitness

Published for Friends of the Initiative

The Value in Musculoskeletal Care Summit

by Karen Zabel


On October 12th and 13th, 2011, more than 125 stakeholders in musculoskeletal care, representing patients, providers, payers, government, industry and professional organizations, convened in Washington, D.C., in the first of planned biennial summits hosted by the U.S. Bone and Joint Initiative (USBJI) to continue dialogue on critical issues in the musculoskeletal arena.  The topic of this first summit was the value of musculoskeletal care.  In addition to providing a platform for discussion and interaction, another clear goal of the Summit was to develop a consensus statement on value that would serve as an action framework for future activities, including advocacy at local, state and national levels.


"The primary goal of the summit was to provide an opportunity for patients and members of participating organizations to share their views and to address issues of common concern, and that goal was achieved," said USBJI President Kimberly Templeton, M.D. "The summit highlighted to the groups, and to the Initiative as a whole, the advantages of working together and joining voices to improve the care of patients with musculoskeletal conditions."


USBJI President, Kimberly Templeton, MD


Co-chaired by Gunnar B.J. Andersson, M.D., PhD., Steve Gnatz, M.D., MHA, and David Pisetsky, M.D., PhD., the summit was divided into three areas of focus: how to define value in musculoskeletal care; how to measure value in musculoskeletal care; and the role of industry in providing value in musculoskeletal care.



 At the opening of the summit, Dr. Pisetsky set the tone for discussion with a few comments on value.


"Value is clearly something different from cost-effectiveness and clearly different from quality," he said. "We often hear the maxim, 'if something is worth doing, it's worth doing well;' but with regard to value, we need to ask, 'If something can be done well, is it worth doing?' That's really the difference. We usually think of output in terms of outcomes, but in the case of value, we need different parameters."


The concept of value is at the forefront of healthcare reform, and efforts to define and promote value is a crucial step in ensuring appropriate outcomes, as well as adequate funding for research and care. Being able to show the value of care will become even more critical as individuals are asked to bear a greater share of costs under healthcare reform.


"In another few years, many families will begin to write checks for their own healthcare, and as more Americans write checks, cost considerations become even more important," said Alan Korn, M.D., FACP, who serves as both chief medical officer and senior vice president in the office of clinical affairs for the Blue Cross and Blue Shield Association.


"Most American families depend on employer-sponsored insurance for their health coverage, yet premiums and out-of-pocket expenses for families with employer-sponsored plans are rising at an unprecedented pace," noted speaker William Martin, M.D., medical director of the AAOS. "Unless something is done, healthcare costs will continue to eat away at family budgets, compromising families' ability to pay their bills, buy a home, or save toward long-term goals such as their retirement or their children's education."


Throughout the summit, many of the presenters discussed the need for patient input in defining value, as well as the need to develop a better understanding of what constitutes "value" from a patient perspective, compared to the perspective of a healthcare provider or payer.


In her presentation, Jean Slutsky, P.A., M.S.P.H., director of the Center for Outcomes and Evidence of the Agency for Healthcare Research and Quality (AHRQ), recalled a collective outcry from angina patients who were concerned that quality-of-life measures that were important to them personally were not included in endpoints for a study on the condition.


"There was a tsunami of anger among the patients we interviewed, because for them, the primary endpoint actually was angina and how they could carry on their daily activities," she said. "Being able to interact with their grandkids on a daily basis was much more important to them than if they had a couple more years of life. So one of the keys to understanding value is to begin by understanding that what value may mean to me may not be what it means to the next person."


Summit speakers and audience members agreed that the concept of value is highly subjective and personal, influenced by myriad elements, including - among many others - socioeconomic factors, age, gender and expectations. The value equation often cited by speakers from an article in the New England Journal of Medicine in which Michael Porter et al1 suggested the value equation include the following components- 



-was referenced in many of the discussions, and summit participants debated the relative usefulness of available methods for measuring quality, and the proposal that it is patient-centered outcomes that should be the numerator.


At the end of the first day, summit participants divided into disease-specific work groups (including arthritis and joint replacement, bone disease, spine including deformity, and injury and trauma). The participants then met in interdisciplinary work groups, to discuss four topics central to the development of the consensus statement: definition of value; measurement of value; advocacy issues; and the role of professional organizations. The group divisions ensured that the unique needs of each specialty area were addressed initially, and then considered within the larger realm of musculoskeletal care.


Spine Work Group


Measurement of value proved problematic, but in the end, the working groups reached an accord, which Dr. Pisetsky hailed as especially significant.


"In my opinion, the most important aspects of the meeting were the discussions on how to measure value," he said. "While previously we have thought in terms of cost effectiveness, value represents a different dimension that will be increasingly important in the future to assess the care that we provide to patients with the full range of musculoskeletal disease."


On Thursday, group members reconvened to discuss and finalize the outcomes of the group discussions, and to form the document which would become the basis for the USBJI consensus statement on value.


After some debate on Thursday, summit members issued the following definition of value: "The value in musculoskeletal care is the ability to maximize a person's ability to function in society while minimizing pain and other symptoms, and balancing both risk and cost over the entire life span of that person."


The final statement will be used as a starting point for an action plan and for advocacy at all levels, from local and community outreach to state and federal lobbying initiatives.


"The consensus statement provides a basic building block upon which the various organizations can develop or strengthen their positions for advancing research and treatment," Dr. Templeton said. "The strength of the statement is that it reflects the views of patients and of the participating organizations."


Dr. Gnatz agreed. "The consensus statement represents the wisdom of the members of the USBJI member organizations," he said. "It is designed to highlight the needs for raising awareness of musculoskeletal care through both clinical programs and research funding.

The statement (and the organizations that use it) will be better positioned to engage support for this important area."


"I have always said that the most important aspect of any strategic planning or summit such as ours is the ability to synchronize the thinking of great leaders in the field," he added. "Such synchronization will hopefully bear fruit as the members return to their organizations and contemplate ways to effect positive change in the health care environment."


By providing a clear definition of the value of musculoskeletal care, the final consensus statement also will improve efforts among healthcare providers to promote the value of the work they do, said Dr. Pisetsky.


"The next step in this activity will be to increase focus on value among care providers, including their organizations, and develop the metrics to assess the value of their services and promote programs to increase it," he said.


"The members of the U.S. Bone and Joint Initiative now need to take the consensus statement to their organizations and promote the value of musculoskeletal health so that patients with these diseases receive their appropriate share of the health care resources," Dr. Andersson said.


"The summit is a starting point," he added. "The USBJI now needs to continue to promote a better understanding of value among its members."


A detailed report on the Summit, and presentations made, are available at www.usbji.org/rd/?MSKSummit.


1 N Engl J Med 2010; 363:2477-2481

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America's War Heroes: Impact of Musculoskeletal Injury and Trauma

by Karen Zabel


On the last day of the USBJI summit, attendees were given a brief introduction into the unique challenges of treating musculoskeletal injuries among today's military members and veterans during a Congressional lunch briefing on Capitol Hill. The opening speaker, retired Marine Sgt. Mike Jackson, Jr., knows firsthand the pain and challenges caused by musculoskeletal injury and disease. In January 2010, Sgt. Jackson was honorably discharged following his diagnosis with advanced early onset osteoarthritis. After five years of military service, Sgt. Jackson returned to his home in Catoosa, Okla., charged with the task of resuming a role in society while dealing with the disabling pain of his disease.


"The disease took a real toll on my shoulders, since I had to carry a significant amount of weight during maneuvers," he told the group.

Retired Marine Sgt. Mike Jackson, Jr.


But Jackson was not discouraged. Relying on his personal perspective and experiences with musculoskeletal disease and injury in the military, the retired sergeant began volunteering at his local chapter of the Arthritis Foundation, where he soon assumed the role of team recruitment chairperson for the chapter's Arthritis Walk. Jackson also began speaking publicly about his experiences as a soldier with musculoskeletal disease, and was named the Arthritis Foundation's National 2012 Walk Honoree.


Jackson, whose osteoarthritis was diagnosed three years after he sustained an injury while on active duty, is not uncommon. According to presenter David Borenstein, M.D., FACP, FACR, then president of the American College of Rheumatology, osteoarthritis is a common condition among military members, exacerbated by strenuous physical activity and the extremely heavy loads they must carry while on duty.


"Members of the military are at great risk for musculoskeletal disease," Dr. Borenstein said. "In fact, osteoarthritis occurs more commonly in the military than in the general population, and is a significant cause of disability. Aggressive treatment of osteoarthritis in its earliest stages has the potential to delay the onset of joint destruction."

David Borenstein, MD, FACP, FACR


Physical therapy has its roots in the military, becoming a recognized medical professional field during World War I. By the turn of the 21st century, the need for proactive physical therapy in the military and its value in preparing soldiers for combat became more widely recognized.


Between 2003 and 2008, sport and physical trauma were among the leading injuries, representing 20.9 percent of soldiers evacuated for non-battle injuries from Operation Iraqi Freedom during that period, said COL Barbara Springer (ret), P.T., PhD, OCS, SCS, national director of Ride 2 Recovery's Project HERO (Healing Exercise Rehabilitation Opportunity), an initiative that uses cycling aimed at treating both physical and psychological challenges faced by service members and veterans. As a result, researchers, policymakers and unit leaders are currently collaborating to look at physical performance outcome measures that increase readiness.


COL Barbara Springer (ret), PT, PhD, OCS, SCS


"The Army has recognized a need for a proactive comprehensive approach to prevent injury, optimize performance and hasten recovery," Dr. Springer said. "To date, several initiatives have been implemented, including the Pain Management and Musculoskeletal Action Plan (MAP) in 2008 and the Soldier Readiness Campaign in 2010."


These initiatives are aimed at collecting data about musculoskeletal injuries in the military, and developing treatment, recovery and prevention goals and strategies, as well as optimizing performance during duty.


"It is important for military medical professionals to come together as a team and continue to identify the common causes of musculoskeletal injuries, optimize human performance to reduce injuries, treat injuries early and rehabilitate fully; much like what sports medicine teams do."


In addition to non-battle injuries, wounds sustained during combat can have significant musculoskeletal involvement, requiring extensive treatment and recovery periods.


"Combat wounds are different from many other types of wounds," Dr. Springer noted. "The high-kinetic energy from weapons can cause extensive soft tissue injury and multiple areas of trauma. The wounding pattern often requires longer incisions to clean the wound and longer healing times."


"Military physical therapists, other musculoskeletal experts, and our healthcare leaders recognize the large number of musculoskeletal injuries and the impact they have on readiness," she added. "Human performance optimization, injury prevention and the new physical readiness training programs are just a few examples of new initiatives to help prevent or mitigate these injuries."



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USBJI Plans and Changes in 2012

During 2011 our name was successfully changed from the United States Bone and Joint Decade (USBJD) to the United States Bone and Joint Initiative (USBJI), which is designed to reflect the ongoing and vibrant organization we have become. As of January 1, 2012, most stationary and materials have been changed to the new name. In some instances the old name is still in use, but we aim to operate entirely under the new name as quickly as possible. Our 501(c)(3) status remains the same, as does our EIN number.


The USBJI is the U.S. National Action Network of the worldwide Bone and Joint Decade, which is comprised of similar networks in more than 60 countries.


Our web site address has been changed to www.usbji.org.


Our email addresses and office phone numbers have changed as well, and are as follows:


Toby King

Executive Director




Mary Baburich

Young Investigators Initiative




Linda Cook

Administrative Coordinator




Shari Maier

Public Education Programs




Our logo has changed slightly too. Members are welcome to use this on materials and in publications. The logo can be downloaded at www.usbji.org/rd/?logo 


Priorities during the coming year include: expansion of The Burden of Musculoskeletal Diseases in the United States - Prevalence, Societal and Economic Cost; Project 100 (undergraduate musculoskeletal education); the Young Investigator Initiative designed to increase the pipeline of musculoskeletal researchers and funding of musculoskeletal research; our public education programs including Experts in Arthritis and Fit to a T; interdisciplinary forums, including follow-up to the summit on The Value in Musculoskeletal Care, a workshop on Chronic Osteoarthritis Management; the Pediatric Specialties Group will continue to focus on the effects of obesity on musculoskeletal health; Bone and Joint Health National Awareness Week (Oct. 12-20).


We thank all members and friends of the U.S. Bone and Joint Initiative for your participation and support, and wish you all the best in 2012.

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Chronic Osteoarthritis Management Initiative

Patients with osteoarthritis (OA) might be better served by changing the practice paradigm to one that is similar to other chronic diseases which include longitudinal, early, and proactive management, patient education, and coordinated, inter/multidisciplinary interventions.  A patient-centered, multimodal approach will better achieve the desired patient goals of pain relief, increased function, and decreased disability.  


The USBJI will convene a Working Group, May 2012, to assess the validity of this proposal, and if it concludes that there is merit, to propose steps to be taken to address the issue.


The goal of this proposed project is to reshape the current practice paradigm of osteoarthritis in order to improve patient outcomes and patients' experience of care in our healthcare system.  This project would be seen as running in tandem with and perhaps sharing joint projects with other patient-centered programs already started, such as the OA Action Alliance. 


The Working Group will consist of thought and clinical practice leaders in this field from a variety of organizations whose members are involved in OA treatment or research or represent the patients and families of those with OA. 


The goal of this initial meeting will be to discuss the current treatment paradigm of osteoarthritis and to identify the gaps in research, education, and treatment.   The Working Group will also discuss the feasibility of developing and promulgating a shift in OA management, to align it more with those utilized for other chronic diseases.  There should be discussion of how knowledge of OA prevention and treatment should be enhanced, especially among primary care providers and the public.  This new treatment paradigm should also explore how OA impacts the development and treatment of other chronic conditions (e.g., diabetes), and how the new paradigm could be incorporated into the management of these other conditions.  Sex/gender and race/ethnicity issues in terms of disparities of incidence and care will also be explored. 


For further information, contact Toby King at tobyking@usbji.org, or 847-430-5053.


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Burden of Musculoskeletal Diseases in the United States


Eight of nine chapters in this publication have been updated during the past year. They can be viewed and downloaded at no cost at www.boneandjointburden.org. The publication details and provides tables and charts on the prevalence, societal and economic cost of the major musculoskeletal conditions.


In 2011 a survey among members provided input on how this excellent publication, core to efforts to draw attention to musculoskeletal disorders, should be expanded. The USBJI Board reviewed the results at their meeting in June and made a number of recommendations, including that a more standardized structure and format for each chapter be developed. In addition to the core data, fast facts should be added, as well as a cost issues summary, examples of the impact of recent research, patient stories, more on co-morbidities, systemic complications, disparities and gender issues. A slide set should be developed, a hand-held model, and chapters on children and geriatrics. The USBJI Data Group will be working on these recommendations.


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National Bone Health Alliance

The Alliance has announced their "20/20 Vision" for reducing hip and other fractures 20 percent by 2020. A key element to achieve this vision is the NBHA proposal to establish a Fracture Liaison Service within Medicare and other health systems. The Alliance also is proposing a Bone Turnover Marker Standardization Project, and has started work on a public and health professional awareness campaign. www.nbha.org  

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OA Action Alliance - Physical Activity Work Group Update

The Osteoarthritis (OA) Action Alliance is a national coalition of organizations mobilized by the Arthritis Foundation and the Centers for Disease Control and Prevention (CDC) that is committed to elevating OA as a national health priority and promoting effective policy solutions that aim to address the individual and national toll of OA. The mission of the OA Action Alliance is to work collectively to advance the recommendations outlined in A National Public Health Agenda for Osteoarthritis by promoting action to prevent and control OA and its progression through proven interventions, public policies, communication strategies and enhanced research initiatives. Four workgroups have been formed to implement the Public Health Agenda for OA: Physical Activity, Self Management Education, Injury Prevention, and Weight Management and Nutrition. 


USBJI Board members Dr. Tom Best, Dr. Leigh Callahan and Dr. Anita Bemis-Dougherty are on the Physical Activity workgroup. This workgroup has been having monthly conference calls and is working on an environmental scan survey as the first step.  The purpose of conducting this environmental scan is to gather information about existing programs and/or services (e.g., physical activity, exercise) for people with osteoarthritis (OA), and arthritis in general. In order to move forward, it is important to understand what programs and services already exist. Also, the criteria for the scan will help the PA Work-Group judge the quality of existing programs and services. Initially, the data from this environmental scan will be used as an internal work-group organizational document and/or directory of programs.


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How Do We Get Policy Makers to Take Musculoskeletal Conditions Seriously?

Anthony D. Woolf, FRCP, MBBS

Chair, BJD International Coordinating Council


Dr. Anthony Woolf, chair, International Coordinating Council, Bone and Joint Decade, was the Distinguished Lecturer of the Association of Rheumatology Health Professional's meeting held recently in Chicago. He presented his lecture on "How Do We Get Policy Makers to Take Musculoskeletal Conditions Seriously?" Dr. Woolf discussed the achievements of the United States Bone and Joint Initiative, the burden of musculoskeletal diseases in developing as well as developed countries, and strategies that can be undertaken at a national level to reduce the burden. The lecture can be viewed at www.usbji.org/rd/?2011WoolfACR.



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USBJI Honors Dr. Stephen Katz

The USBJI honored Dr. Stephen Katz, Director, National Institute of Arthritis and Musculoskeletal and Skin Diseases, during dinner on October 12 at the time of the Musculoskeletal Summit. USBJI President Dt. Templeton presented him with a plaque in appreciation for his support and leadership over the past ten years in advancing the mission of the Bone and Joint Decade.


Dr. Kimberly Templeton, Dr. Edward Puzas, Dr. Stephen Katz, Toby King


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Young Investigators Urged to Apply for USBJI Grant Mentoring and Career Development Program

The United States Bone and Joint Initiative (USBJI) and Bone and Joint Decade Canada are dedicated to increasing research of musculoskeletal diseases.  The USBJI's Young Investigator Initiative is a grant mentoring and career development program to provide early-career clinical and basic investigators an opportunity to work with experienced researchers in our field to assist them in securing funding and other survival skills required for pursuing an academic career.


This program is open to promising junior faculty, senior fellows or post-doctoral researchers nominated by their department or division chairs. It is also open to senior fellows or residents that are doing research and have a faculty appointment in place or confirmed. Basic and clinical investigators, without or with training awards (including K awards) are invited to apply. Investigators selected to take part in the program attend two workshops, 12-18 months apart, and work with faculty between workshops to develop their grant applications. The unique aspect of this program is the opportunity for attendees to maintain a relationship with a mentor until their application is funded.


Deadline to apply for the cycle starting with the Fall 2012 Workshop is July 15, 2012. To apply for this program, please go to our web-site, www.usbji.org/rd/?yii or contact Mary Baburich at 847-430-5055 or marybaburich@usbji.org.


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Public Education Programs

Fit to a T updated

The USBJI's public education program Fit to a T's presentation and handout materials have all been given a fresh look and updated. More than 80 sessions were held during 2011, and more than 400 held in total. To learn more about how you can host or present a session, please visit www.fit2t.org, or call Shari Maier at 847-430-5054.


Experts in Arthritis expanded

During 2011 a task force of experts developed a prepared presentation and materials for the Experts in Arthritis program. This program within the USBJI's public education program is being expanded and was offered in conjunction with the annual meetings of the American College of Rheumatology and the American Occupational Therapists Association. It was also offered to local community groups in Haysville and Kansas City, KS, Voorhees, NJ, Pittsburgh, PA, and Fredericksburg, VA. To learn more about how you can host or present a session, please visit www.usbji.org, or call Shari Maier at 847-430-5054
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New USBJI Board Members

Thomas Best, MD, PhD, FACSM

American College of Sports Medicine



Steve Gnatz, MD, MHA 

American Academy of Physical Medicine and Rehabilitation



Marjorie Kulesa, RN, BS, ONC, CNOR

National Association of Orthopaedic Nurses


Andrew Laster, MD, FACR, CCD

International Society of Clinical Densitometry



Amy McGuire Porter 

National Osteoporosis Foundation



Jan Richardson, PT, PhD, OCS

American College of Rheumatology


Peter Trafton, MD, FACS

Orthopaedic Trauma Association


Paul Ullucci, Jr., DPT, ATC, SCS, LAT, CSCS, C-DSc

National Athletic Trainers' Association


Charlene Waldman

The Paget Foundation for Paget Disease of Bone and Related Disorders


Janet Wyatt, PhD, RN, FAANP

Arthritis Foundation


The Board thanks Cate Brennan Lisak, Dr. Marian Hannan, Dr. Joshua Jacobs, Kathy Kuntzman, Dr. Eileen Moynihan, Dr. Barry Smith, Gene Wurth, and Virginia Bukata for their service to the organization. Virginia Bukata has kindly agreed to become a special advisor to the Board.


During the year Dr. Janet Wyatt was appointed to the National Advisory Council for the federal Agency for Healthcare Research and Quality (AHRQ). Board member Joseph O'Brien was appointed as a patient representative on the Advisory Panel of the FDA's Center for Devices and Radiological Health. Congratulations to past president Dr. Nancy Lane for her election to Mastership by the American College of Physicians.


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New Members

The USBJI welcomes new members:


American Medical Society for Sports Medicine

American Society for Surgery of the Hand

New York State Chiropractic Association

Spondylitis Association of America

University of Connecticut School of Medicine


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Thanks to Supporters

The USBJI thanks the following for their support of USBJI programs during 2011:


Musculoskeletal Summit


American Academy of Orthopaedic Surgeons

American College of Rheumatology




Amgen, Inc.

Biomet, Inc.

Eli Lilly and Company

Genzyme, Inc.



American Academy of Physical Medicine & Rehabilitation

American College of Sports Medicine

American Osteopathic Academy of Orthopedics

American Physical Therapy Association

American Society for Bone and Mineral Research

Arthritis Foundation

Biogen Idec/Genentech

International Society for Clinical Densitometry


National Athletic Trainers' Association

National Osteoporosis Foundation

National University of Health Sciences

New York State Chiropractic Association

Orthopaedic Research Society

Orthopaedic Trauma Association

Pediatric Orthopaedic Society of North America

Scoliosis Research Society

Kimberly Templeton, MD

Mark Wieting, Official Photographer


Public Education Programs - Fit to a T and Experts in Arthritis

Amgen, Inc.

Eli Lilly

Genentech, Inc.


Young Investigator Initiative

American Academy of Orthopaedic Surgeons/Council on Research and Quality

American Physical Therapy Association

American Society for Bone and Mineral Research

Canadian Orthopaedic Foundation

National Institutes of Health/National Institute of Arthritis and Musculoskeletal and Skin Diseases

Orthopaedic Research and Education Foundation

Orthopaedic Research Society

The Arthritis Society

Zimmer, Inc.



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How to Receive a Print Copy of the Newsletter?

To obtain a print copy of this newsletter click here.

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U.S. Bone & Joint Initiative
6300 N. River Road
Rosemont, IL 60018